Medical Perspectives Vol. 11: Musculoskeletal System & Orthopedics Thank you for viewing. This book has been cut and was obtained from another person. The cover and part of the spine (excluding the main text and table of contents) have been discarded, so they are not included. The obi (sleeve) is discolored in some areas, as shown in the photos. There is highlighting and writing in some parts of the interior. There are no noticeable tears or stains. Scanning was done without any problems. Please refrain from purchasing if you are sensitive to used items.